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Home My WebLink About[04d] Liquor License Transfer Council Agenda Item 4d MEETING DATE: March 6, 2017 AGENDA ITEM: License Transfer—Requested Action: Authorize the Mayor and Administrator to execute the Off Sale Liquor License and Cigarette License for Northern Tier Retail(formerly JM Oil Companies). SUBMITTED BY: Administration/Police Chief BOARD/COMMISSION/COMMITTEE RECOMMENDATION: PREVIOUS COUNCIL ACTION: Annually the City has approved an off sale liquor license and Cigarette License to JM Oil Companies for property located at 206 ls`Ave NW(Super America). BACKGROUND INFORMATION: The City Office received a request from Super America to transfer the licenses for the property located at 206 ls`Ave NW to their corporate holdings,Northern Tier Retail as they will be taking over the property. The Police Chief has completed the background check and submitted a memo that there is nothing that would preclude Northern Tier Retail from holding the requested licenses and recommended approval. This license is for off sale intoxicating liquor with a license period of March 27, 2017 to June 30, 2017 and a cigarette license for a period March 27, 2017 to December 31, 2017. BUDGET/FISCAL IMPACT: ATTACHMENTS: Request for Council Action License Application Police Chief Recommendation REQUESTED COUNCIL ACTION: Authorize the Mayor and Administrator to execute the off sale intoxicating liquor license and Cigarette License Northern Tier Retail, LLC. THIS PAGE INTENTIONALLY LEFT BLANK State of Minnesota City of St. Joseph County of Stearns Application for License to Sell Tobacco Products at Retail The undersigned resident(s) of the City of St. Joseph in the County of Steams, State of Minnesota,HEREBY MAKE(S)APPLICATION FOR LICENSE TO BE ISSUED TO To sell cigarettes and cigarette papers and wrappers at retail at 206 — 15t Avenue Northwest 1n the City of St Joseph in said county and state for the term of one year beginning with the Ist day ofApol 2017, subject to the laws of the State of Minnesota and the ordinances and regulations of said City of St. Joseph pertaining thereto, and herewith deposit$75 in payment of the fee therefor. Dated 2017. Signature ownertagent M Minnesota Department of Public Safety ALCOHOL AND GAMBLING ENFORCEMENT DIVISION 444 Cedar St.,Suite 222,St.Paul,MN 55101-5133 CID) (651)201-7507 FAX(651)297-5259 TTY(651)282-6555 W W W.DPS.STATE..MN.US APPLICATION FOR OFF SALE INTOXICATING LIQUOR LICENSE Workers compensation insurance company.Narn6g ,OMAte c/i(xPoliey# Licensee's MN Sales and Use Tax ID#_Lj 0'3 0i(a'1() To applyror a JWN s tes and use rax ID#caU(651)2181 Licensee's Federal Tax ID# &R 7. 36D If a corporation,an offlcer shall execute this appiication If a partaerskip,a artner shall execute this applicadom Licensee Name(Individual,Corporation,Partnership,LLC) Social Security# Trade Name or DBA fJor T� % SLC i ri 1:t 502.0 License Location(Street Address&Bock No.) License Period f Applicant's Home Phone# From�a? L7 TO�l3oJQ Ci County State Zip Code I . � h ,51 Ms 1Q37q Name of Store Manager Business Phone Number DOB(Individual Applicant) �:VnAA e 6,(L(L �Zr•3�3 . 1a-t2 If a corporation or LLC state name,date of birth,Social Security#address,tale,and shares held by each officer. If a partnership,state names,address and date of birth of each partner. Partner Officer(First,middle,last) DOB SS# Title Shares Address,City,State,Zip Code At) u�/'Td�• AN". Plsrdw.JC l A4Wa� C,-& 5S0Bz Partner Officer(First,middle,last) DOB SS# Title Shares Address,City,State,Zip Code Partner Officer(First,middle,last) DOB SS# ride Shares Address,City,State,Zip Code Partner Officer(First,middle,last) DOB SS# Title Shares Address,City,State,Zip Code 1. If a corporation,date of incorporation (e•23-1(3 ,state incorporated in4G � t paid in capital . If a subsidiary of any other corporation,so state th r ,Ze, Qil�nu give purpose of corporation (r . If incorporated under the laws of another state,is corporation authorized to do business in the state tof Mirm sota? VYes o No 2. Describe premises tp whicrr,license applies; such as(first floor,second floor,basement,etc.)or if entire building,so state. 4 hrk r' VjtA LCL--" :, 3. Is establishment located near any state university,state hospital paining school,reformatory or prison? Wes 0 No If yes state approximate distance. 4. N andpddress fbuildingowne: o �L• 6 EM owner ot buildnig any connection,directly or indirectly,wr applicant? D Yes o 5. Is applicant or any of the associates in this application,a member of the governing body of the municipality in which this license is to be issued? ❑Yes 4No If yes,in what capacity? 6. State whether any person other than applicants has any right,title or interest in the furniture,fixtures or equipment for which license is applied and if so,give name and details. _M 7. gave applicants any interest whatsoever,directly or indirectly,in any other liquor establislen th state of Minnesota? Yes 0 No If yes,give name and address of establishment. 8. Are the premises now occupied or to be occupied by the applicant entirely separate and exclusive from any other business establishment? lifl'es 0 No 9. State whether applicant has or will be granted,an On sale Liquor License in conjunction with this Off Sale Liquor License and for the same premises. []Yes WNo ❑Will be granted 10. State whether applicant has or will be granted a Sunday On Sale Liquor License in conjunction with the regular On Sale Liquor License. ❑Yes 9No ❑Will be granted 11. If this application is for a County Board Off Sale License,state the distance in miles to the nearest municipality. -- 12. State Number of Employees 13. If this license is being issued by a County Board, has a public hearing been held as per MN Statute 340A.405 sub2(d)? 14. If this license is being issued by a County Board,is it located in an organized township? If to,attach township approval. I. State whether applicant or any of the associates in this application,have ever had an application for a liquor license rejected by any municipality or state authority; if so,give dates and details. 140 2. Has the applicant or any of the associates in this application,during the five years immediately preceding this application ever had a license under the Minnesota Liquor Control Act revoked for any violation of such laws or local ordinances; if so,give dates and details. 00 3. Has app cant,partners,officers,or employees ever had any liquor law violations or felony convictions in bluinesota or elsewhere,including State Liquor Control penalties? %Yes ❑No If yes,give dates,charges and final outcome. �e e a t ls0 pita a s - 3 O'W5--U y;tAGA i cam' 0SaywA�„e:rc..Conal e-Ka� �t� 4. During the past license year,has a summons been issued under the Liquor Civil Liability Law(Dram Shop)M.S.340A.802. 0 Yes Vo If yes,attach a copy of the summons. This licensee must have one of the following: (ATTACH CERTIFICATE OF INSURANCE TO THIS FORM.) Check one ❑ A. Liquor Liability Insurance(Dram Shop)-$50,000 per person,$l 00,000 more than one person; $10,000 property destruction; $50,000 and$100.000 for loss of means of support. or ❑ B. A surety bond from a surety company with minimum coverage as specified in A. or 0 C. A certificate from the State Treasurer that the licensee has deposited with the state,trust fiords having market value of $100,000 or$100,000 in cash or securities. cermry matnave reau Ine Move questions ana Inate answers are Ere ana cormt or my own KnowleaKc rrmt name ot applicant&tit er Applicant o Date REPORT BY P0LJCEVSHERIFF'S DEPARTMENT This is to certify that the applicant and the associates named herein have not been convicted within the past five years for any violation of laws of the State of Minnesota or municipal ordinances relating to intoxicating liquor except as follows: Police/Sheriffs Department Title Signature County Attorney's Signature PS 9136{2009) IMPORTANT NOTICE All retail liquor licensees must register with the Alcohol,Tobacco Tax and Trade Bureau. For information call(513)684-2979 or 1-800-937-8864 ST. JOSEPH POLICE DEPA .TMENT JOEL KLEIN - CHIEF OF POLICE Memo To: City Administrator Weyrens & St. Joseph City Council From: Chief Kleine;` L-' Date: 03/01/2017 RE: Liquor License Application In conducting a background check of ROGER KENNETH BURTON, DOB: 10/07/1968, DBA: SUPER AMERICA, SUPER SPIRITS, no information was found to prohibit him from obtaining a liquor license as per Minnesota state statute § 340A.402. 2 • Avcr,aac Noft n - PC) Box z68 • Saint joscpk Minnesota 56.174 Ptionc 3-0 5 ',3 82 j'O Fax 110 2!q,,?444 I'mail sjpd cityof'5tj0S('Pl .C()ITt